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LIVING WELL MEDICAL, LLC
NPI 1508630856
Nurse Practitioner - Primary Care in Brookings, OR

Active since November 07, 2023
524 SPRUCE ST STE 5, BROOKINGS, OR 97415(541) 813-1505(541) 813-1506 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2024, Jan 3, 2024, Nov 7, 2023 (3 updates tracked since 2023).

About Living Well Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING WELL MEDICAL, LLC (NPI 1508630856) is a healthcare organization registered as a primary care in Brookings, Oregon and active in the NPI registry since November 2023. The organization lists Stacy Rae Kreger, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1508630856
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLIVING WELL MEDICAL, LLC
Location Address524 SPRUCE ST STE 5Brookings, OR 97415-0407
Mailing AddressPo Box 488Brookings, OR 97415-0043 · (541) 813-1505 · Fax (541) 813-1506
Phone(541) 813-1505
Fax(541) 813-1506
Organization SubpartNo
Authorized OfficialStacy Rae KregerNp/owner · (541) 813-1505
Enumeration DateNovember 7, 2023
Last NPPES UpdateFebruary 8, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
✔ NPI 1508630856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
524 SPRUCE ST STE 5, Brookings, OR 97415
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY RAE KREGER AGNP
Nurse Practitioner (Primary Care)
524 SPRUCE ST STE 5
BROOKINGS, OR 97415
Curry County (541) 813-1505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Well Medical, LLC's NPI number?

The NPI number for Living Well Medical, LLC is 1508630856. It was assigned to this organization in the NPPES registry on November 7, 2023.

Where is Living Well Medical, LLC located?

Living Well Medical, LLC is located at 524 Spruce St Ste 5, Brookings, OR 97415. The listed phone number is (541) 813-1505.

What is Living Well Medical, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Living Well Medical, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Living Well Medical, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Living Well Medical, LLC was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.